After three years of the health budget remaining stagnant in the Rs 22,000-24,500 crore range when estimates are revised towards the end of the calendar year, the health ministry has asked for Rs 50,000 crore in the budgetary allocations this year.
The ministry hopes to kickstart at least its plan to give free drugs and diagnostics under the National Health Mission. Free drugs scheme, first mooted in 2012, was the cornerstone of the health section of finance minister’s Budget speech last year when he had announced Rs 30,645 crore and a plan for “Health for All”. None could be rolled out for the lack of finances.
In the revised estimates, the allocation has been pruned to Rs 24,500 crore bringing the total health spend in the first three years of the 12th five-year plan to Rs 70,000 crore, way below the 2,68,000 crore allocation given in the plan document. The department of Ayush, meanwhile, has asked for a more than six-fold raise in allocation from Rs 400 crore last year to Rs 2,700 crore.
Days after the prime minister, in a review meeting, stressed on the strengthening of existing systems rather than ambitious announcements, health minister JP Nadda made it clear that the vision of National Health Assurance Mission has got more to do with assurance of services than with additional financial commitments. Officials in the ministry say indications are clear that there will be no dramatic hike in social sector spendings.
Of the Rs 50,000 crore, a demand for Rs 40,000 crore has been sent for the National Health Mission alone. Under the 12th Plan there was a proposed allocation of Rs 1.93 thousand crore for the flagship health programme of which only around Rs 53,000 crore has been spent so far.
“The primary reason we need the extra money is to get at least the free drugs and diagnostics scheme off the ground. Right now states are doing it in some form but since there is no central scheme it runs on their whims… We are not looking at pilots for NHAM because there is already sufficient learning available, if we get the funds the scheme can roll out,” said an official.